NPI | 1689626749 |
---|---|
Doing Business As | FORT MILL DIALYSIS |
Entity Type | Organization |
Authorized Contact | SAMUEL T WEY VP, Licensure & Certification 615-341-6641 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: SC ERD-0167) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2025-05-15 |